institution
Eastern Shoshone Recovery
Substance Use Disorder Rehabilitation Clinic/Center in Fort Washakie, Wyoming
NPI 1265751309

Eastern Shoshone Recovery is a Substance Use Disorder Rehabilitation Clinic/Center based in Fort Washakie, WY and is specialized in Rehabilitation, Substance Use Disorder. Eastern Shoshone Recovery practices in Fort Washakie, WY. The NPI Number for Eastern Shoshone Recovery is 1265751309 and holds a License No. (Wyoming).

The current practice location address for Eastern Shoshone Recovery is #7 Shipton Lane, Fort Washakie, WY and can be reached out via phone at 307-335-1169 and via fax at 307-335-1170.

Location: #7 Shipton Lane, Fort Washakie, WY, 82514-0538
institution
Provider Profile Details
NPI Number
1265751309
Provider Name
Eastern Shoshone Recovery
Credential
Provider Entity Type
Organization
Address
#7 Shipton Lane, Fort Washakie, WY, 82514-0538
Phone Number
307-335-1169
Fax Number
307-335-1170
Provider Enumeration Date
05/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130744400 05 WY
institution
Provider Business Practice Location Address Details
Address
#7 Shipton Lane
City
State
Zip
82514-0538
Phone Number
307-335-1169
Fax Number
307-335-1170
person
Provider Business Mailing Address Details
Address
#7 Shipton Lane
City
State
Zip
82514-0538
Phone Number
307-335-1169
Fax Number
307-335-1170
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
(Wyoming)
Definition
Definition to come...
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